Fibroids

Fibroids are non-cancerous tumors that grow in the uterus, affecting a significant number of women, particularly those in their reproductive years. These growths are often asymptomatic but can lead to symptoms such as heavy menstrual bleeding, pelvic pain, and infertility. While many women with fibroids experience no symptoms and require no treatment, others may need medical intervention to manage their condition. Dr. Apoorva Pallam Reddy, a highly skilled gynecologist and laparoscopic surgeon, offers comprehensive care for the diagnosis, management, and treatment of uterine fibroids, providing relief and improving the quality of life for women affected by this condition.

What are Fibroids?

Uterine fibroids, also known as myomas or leiomyomas, are benign (non-cancerous) growths made of muscle and fibrous tissue that develop within the wall of the uterus. Fibroids can vary in size, from small, undetectable growths to large masses that can distort the shape of the uterus. They may grow within the uterine cavity, on the outside of the uterus, or within the uterine wall itself.

There are different types of fibroids, classified based on their location:

• Intramural Fibroids: Located within the uterine wall, these are the most common type.
• Subserosal Fibroids: Found on the outer wall of the uterus, they may cause pressure on nearby organs.
• Submucosal Fibroids: Situated just beneath the uterine lining, they may interfere with menstruation or cause infertility.
• Pedunculated Fibroids: These are attached to the uterine wall by a stalk and can grow either inside or outside the uterus.

Symptoms of Fibroids

Not all women with fibroids experience symptoms, but for those who do, common signs include:

• Heavy Menstrual Bleeding: Women with fibroids may experience prolonged or unusually heavy periods, sometimes with blood clots.
• Pelvic Pain or Pressure: Fibroids can cause discomfort or a feeling of fullness in the abdomen.
• Frequent Urination: Larger fibroids can put pressure on the bladder, leading to increased urinary frequency.
• Pain during Intercourse (Dyspareunia): Painful sexual intercourse can occur when fibroids press on the pelvic area.
• Infertility: Fibroids, especially those located in the uterine cavity, can interfere with conception by blocking the fallopian tubes or altering the shape of the uterus.

Causes and Risk Factors

The exact cause of fibroids is not fully understood, but several factors may contribute to their development:

• Hormonal Imbalance: Estrogen and progesterone, hormones that regulate the menstrual cycle, may stimulate the growth of fibroids.
• Genetics: A family history of fibroids increases the likelihood of developing them.
• Age: Fibroids are most common in women between the ages of 30 and 50, particularly during the childbearing years.
• Ethnicity: African-American women are more likely to develop fibroids at an earlier age and with more severity.

Treatment Options for Fibroids

Treatment for fibroids depends on factors such as the size, location, and severity of symptoms. Dr. Apoorva Pallam Reddy offers a range of treatment options tailored to each patient’s needs:

• Medications: Hormonal therapies such as birth control pills, IUDs, or GnRH agonists can help control bleeding and reduce symptoms. Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain.
• Uterine Artery Embolization (UAE): This minimally invasive procedure blocks the blood vessels supplying the fibroids, causing them to shrink and alleviating symptoms.
• Myomectomy: A surgical procedure to remove fibroids while preserving the uterus, which may be recommended for women who want to retain their fertility.
• Hysterectomy: For women who do not wish to preserve their fertility or have severe symptoms, a hysterectomy (removal of the uterus) may be the most effective solution.
• Endometrial Ablation: In some cases, this procedure is used to destroy the uterine lining, reducing bleeding and alleviating symptoms.

Why Choose Dr. Apoorva Pallam Reddy?

Dr. Apoorva Pallam Reddy is an experienced gynecologist with expertise in treating uterine fibroids. Using a personalized, compassionate approach, she works closely with her patients to determine the most effective treatment options based on their symptoms, reproductive goals, and overall health. Whether you are experiencing severe symptoms or have been diagnosed with fibroids, Dr. Apoorva Pallam Reddy offers expert care and advanced treatment options to help you manage your condition and improve your quality of life.